Hematology Flashcards

1
Q

Functions of blood. (5)

A
gas transport 
immunity
clotting 
transport of nutrients 
transport of waste
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2
Q

What is the average total blood volume in a 70kg man?

A

5 liters

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3
Q

Blood is made up of cells (45%) and ______ (55%).

A

plasma

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4
Q

About how many red blood cells are in blood?

A

4.5-6 million per milliliter of peripheral blood

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5
Q

About how many white blood cells are in blood?

A

5,000-10,000 per milliliter of peripheral blood

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6
Q

About how many platelets in blood?

A

150,000-300,000 per milliliter of peripheral blood

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7
Q

What 4 things does plasma contain?

A

electrolytes, glucose, urea and protein

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8
Q

Where do all blood cells come from?

A

pluripotential hemopoietic stem cells

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9
Q

What does totipotent cells do?

A

give rise to ANY and ALL cell types

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10
Q

What does pluripotent cells do?

A

may give rise to several cell types

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11
Q

What do unipotent cells do?

A

can only develop one cell type

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12
Q

Where are all of the blood cells located?

A

in the marrow in adults and in the liver, spleen, lymph nodes, and bone marrow in the fetus

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13
Q

What are the two different cell lines?

A

myeloid and lymphoid

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14
Q

What are the two lines that the lymphoid cell line gives rise to?

A

B cells and T cells

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15
Q

Where are B cells activated and where are they found?

A

Activated in bone marrow

plasma cells or B lymphocytes are found in blood and in lymphoid tissue

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16
Q

Where are T cells activated and where are they found?

A

activated in the thymus

found in the blood

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17
Q

What cell lines do the myeloid cell line give rise to?

A

erythroblasts, granulocytes, monocytes, and megakaryocytes

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18
Q

What do erythrocytes develop into and what are they stimulated by?

A

develop into reticulocytes and finally adult red blood cells

stimulated by erythropoietin released by the kidney

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19
Q

What do granulocytes develop into?

A

basophils, eosinophils, and neutrophils

20
Q

What do monocytes become?

A

macrophages once they migrate into the tissues

21
Q

What to megakaryocytes develop into?

22
Q

What are red blood cells and what do they do?

A

doughnut shaped cells that carry hemoglobin which transports oxygen and carbon dioxide

23
Q

What are the types of white blood cells and what do they do?

A

neutrophils- bacterial infections (60%)
lymphocytes- viral or chronic infections (30%)
monocytes- macrophage activity in tissues (8%)
eosinophils- parasitic infection (2%)
basophils- Hypersensitivity or allergies (0%)

24
Q

How are white blood cells classified?

A

they are classified according to the presence or absence of granules stainable with the standard hematoxylin and eosin stains used in the lab.

25
What are the granulocytes?
basophils eosinophils neutrophils
26
What are the agranulocytes?
lymphocytes | monocytes
27
What is phagocytosis?
the process by which the white blood cells ingest offending agents in the tissue
28
Which cells are most responsible for phagocytosis?
neutrophils and macrophages which are the antigen-presenting cells
29
Most natural structures in the tissues have _______ surfaces which resist phagocytes and protective ________ coats that repel phagocytes.
smooth protein
30
What types of tissues have no protective coats, which makes them more susceptible to phagocytosis?
dead tissue and foreign particles
31
Both neutrophils and macrophages have __________ filled with proteolytic enzymes.
lysosomes
32
What happens after phagocytosis?
the lysosomes come in contact with the ingested material and dump their enzymes into the phagocytic vesicle and digestion begins
33
What two types of cells are bacterial agents that are capable of killing most bacteria?
neutrophils and macrophages
34
Where are macrophages found?
in the skin,subcutaneous tissue, lungs, lymph nodes, liver (Kupffer cells), spleen, and bone marrow
35
What are the two pathways associated with blood clotting?
intrinsic and extrinsic
36
What activates the intrinsic pathway of blood clotting?
vascular damage factor XII is activated by a chemical derived by damaged tissue factor XII activates factor XI factor XI activates factor IX factors IX and VIII activates factor X
37
What activates the extrinsic pathway of blood clotting?
tissue damage factor VII is activated by chemical released by vascular damages factor VII activates factor X
38
What does factor X convert prothrombin to?
to thrombin
39
Thrombin converts ___________ to fibrin which forms the clot.
fibrinogen
40
What test is related to the extrinsic pathway?
the prothrombin test (PeT)
41
What test is related to the intrinsic pathway?
the partial thromboplastin test (PiTT)
42
What are the common blood groups?
ABO and Rh depends on the presence of A, B, or Rh antigens on the surface of red blood cells
43
What antigens and antibodies are found in Group A blood?
A antigens | B antibodies
44
What antigens and antibodies are found in Group B blood?
B antigens | A antibodies
45
What antigens and antibodies are found in group AB blood?
A and B antigens NO antibodies can receive all blood types- UNIVERSAL RECIPIENT
46
What antigens and antibodies are found in Group O blood?
No A or B antigens can be safely given to patients with all blood types UNIVERSAL DONOR
47
What happens if incompatible blood is given to a patient?
the antibodies to the A or B antigens will cause the transfused red blood cells to agglutinate and clump together this leads to the destruction of the transfused blood similar process when a Rh negative mother is exposed to blood from a Rh positive fetus